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UglyGreed

(7,661 posts)
Sat Dec 27, 2014, 07:56 AM Dec 2014

Scientists find a way to prevent, reverse chronic pain

Pain is a leading cause of disability in the US, affecting more Americans than cancer, diabetes and heart disease combined. But in a new study, researchers say they have discovered an "off switch" for pain, paving the way for new treatments.

The research team, led by Daniela Salvemini, professor of pharmacological and physiological sciences at Saint Louis University, MO, publish their findings in the journal Brain.

According to Prof. Salvemini and her team, there are few successful treatments for chronic pain. "The most successful pharmacological approaches for the treatment of chronic pain rely on engagement of endogenous circuits involving opioid, adrenergic and calcium channel mechanisms," the researchers note.

These medications, however, can cause severe side effects - such as muscle pain, anxiety, irritability and even drug tolerance and addiction. This can lead to discontinued use, reduced quality of life and inadequate pain relief.

Past studies have shown that a drug called adenosine may be effective for pain relief in humans, but the medication activates an array of circuits, or "pathways," causing a number of side effects. It has been unclear as to which specific pathway mediates the pain-relieving effects of adenosine, so Prof. Salvemini and her team wanted to find out.

http://www.medicalnewstoday.com/articles/286229.php

39 replies = new reply since forum marked as read
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Scientists find a way to prevent, reverse chronic pain (Original Post) UglyGreed Dec 2014 OP
K&R! I hope this turns out to be as promising as it sounds. Enthusiast Dec 2014 #1
Pain is your body's way of telling you to make changes Demeter Dec 2014 #2
This is for people with nerve damage, where pain is triggered incorrectly. NutmegYankee Dec 2014 #3
Too true! I suffer from small fiber sensory neuropathy, the most painful form of neuropathy. Dustlawyer Dec 2014 #4
2nd, I have MS, pain is often a feature of that, and there is nothing I can change to make it stop. LiberalLoner Dec 2014 #6
I really do feel your pain. I have the same type of neuropathy asjr Dec 2014 #14
Sorry to hear that you have it too. It is hard to understand and therefore explain how you Dustlawyer Dec 2014 #16
I take Cymbalta and Lyrica but get no asjr Dec 2014 #17
I used to get that too. They did 5 nerve conduction studies and scratched their heads that they Dustlawyer Dec 2014 #21
amputees deserve relief roguevalley Dec 2014 #29
there are unfixable things, Demeter blackcrow Dec 2014 #5
Hello bigwillq Dec 2014 #7
I know, I'm well aware of that Demeter Dec 2014 #10
Acute pain... GTurck Dec 2014 #11
sometimes acute pain is a good thing. Sometimes it is just the body malfunctioning just like liberal_at_heart Dec 2014 #22
that would be acute pain. not chronic pain. mopinko Dec 2014 #30
I know someone whose life was destroyed by Trigeminal Neuralgia IDemo Dec 2014 #8
I had severe pain for months and months after a bout of shingles. Vinca Dec 2014 #9
That is the basis for Lamaze HockeyMom Dec 2014 #18
About 10 years ago my husband had such uncontrollable glaucoma that he was on liberal_at_heart Dec 2014 #20
and the elderly NJCher Dec 2014 #12
Sweet! New thousand dollar pills! TransitJohn Dec 2014 #13
So we shouldn't have new medications? drm604 Dec 2014 #19
Did you hurt yourself TransitJohn Dec 2014 #26
I smoke an Indica hybrid once to thrice a week and it does wonders for my neuropathy NightWatcher Dec 2014 #15
And many dont recognize the revolution of medical marijuana... Anansi1171 Dec 2014 #27
An indica with high CBD in particular eases pain. AtomicKitten Dec 2014 #34
What is CBD? dmr Dec 2014 #35
here's some info AtomicKitten Dec 2014 #36
Thank you! dmr Dec 2014 #38
I suffer from the usual aches and pains of aging.. arthritis, etc. mountain grammy Dec 2014 #23
My husband is growing his own now too. I am hoping now that we are growing our own liberal_at_heart Dec 2014 #24
I've never been in the solution to everything camp. Yet that sounds like it would truly help me. freshwest Dec 2014 #32
It's a rat study..... Do rats and mice feel pain like we do? Baclava Dec 2014 #25
If this passes muster there are going..... bobGandolf Dec 2014 #28
I googled this and apparently the FDA recommendations are for injections only: freshwest Dec 2014 #31
The standard pain killers only succeed in making me sick Paula Sims Dec 2014 #33
amitriptyline has been used to treat chronic pain AtomicKitten Dec 2014 #37
Marijuana. I'm just sayin'. ladyVet Dec 2014 #39
 

Demeter

(85,373 posts)
2. Pain is your body's way of telling you to make changes
Sat Dec 27, 2014, 08:35 AM
Dec 2014

Taking away that signal would not be a good thing, unless it was triggering for no actual reason.

Dustlawyer

(10,494 posts)
4. Too true! I suffer from small fiber sensory neuropathy, the most painful form of neuropathy.
Sat Dec 27, 2014, 09:16 AM
Dec 2014

My nerves send false signals that my feet are on fire, electric shocks, numbness, ants biting all over my feet and legs, soreness...
I would think that after years of this I would know and understand that the pain would be telling me I need to change, change how I treat the pain that is! I hope this works out, especially since Texas will probably be the last state to pass medical marihuana.

asjr

(10,479 posts)
14. I really do feel your pain. I have the same type of neuropathy
Sat Dec 27, 2014, 10:09 AM
Dec 2014

and am always at a loss to understand it.

Dustlawyer

(10,494 posts)
16. Sorry to hear that you have it too. It is hard to understand and therefore explain how you
Sat Dec 27, 2014, 10:14 AM
Dec 2014

can have numbness and intense pain. Unfortunately for me, I am allergic to most of the drugs they would normally use, like Gabopentin and Cymbalta. I can use Lyrica, but also have to take Tramodol and Opana ER, which are no longer very effective.

asjr

(10,479 posts)
17. I take Cymbalta and Lyrica but get no
Sat Dec 27, 2014, 10:50 AM
Dec 2014

relief from either. Some doctors seem surprised that I am not diabetic.

Dustlawyer

(10,494 posts)
21. I used to get that too. They did 5 nerve conduction studies and scratched their heads that they
Sat Dec 27, 2014, 11:08 AM
Dec 2014

were normal. Made me do a couple of the diabetic tests as well. Finally, after telling my neurologist that he needed to find out what type of neuropathy I had, (he had said he would, "see you in a year!&quot , he sent me to Dr. Aziz Shaboni, who took three biopsies and counted the nerves in each. That was how I was diagnosed after a three year, multiple doctor ordeal. Now I have a neural stimulator implanted to help with pain relief. It was not as beneficial as they said it would be, they just wanted the money for the surgery, but it does help at times.

 

Demeter

(85,373 posts)
10. I know, I'm well aware of that
Sat Dec 27, 2014, 09:37 AM
Dec 2014

I'm looking at the prescription drug abuse of opiods and similar frantic searches for chemical means of squashing psychic pain, and assuming similar misapplications and "off-label" use will occur.

Too often people would rather take a chemical than fix a problem, even if the problem isn't organic.

GTurck

(826 posts)
11. Acute pain...
Sat Dec 27, 2014, 09:44 AM
Dec 2014

is indeed a good thing but chronic pain is something else. I have fibromyalgia; arthritis in the spine, neck, and knees; migraine headaches. glaucoma, and a few other sources of chronic pain. A whine I am not but if a real way to be able to function could be found I would jump at it.

liberal_at_heart

(12,081 posts)
22. sometimes acute pain is a good thing. Sometimes it is just the body malfunctioning just like
Sat Dec 27, 2014, 11:17 AM
Dec 2014

chronic pain can sometimes be the body malfunctioning. My husband has glaucoma and when it decides it doesn't want to respond to the glaucoma meds it can be excruciating for my husband. Nothing he can change to fix it though. He just has to use what limited resources he has at his disposal. Right now his glaucoma is under control but it does fluxuate more than what the doctor is comfortable with. He takes a drop that luckily his doctor gives him samples of, but the pill that he is suppose to take is $600/month so he does not take that medication. Along with the drop the doctor gives him samples of he also takes medical marijuana.

mopinko

(69,990 posts)
30. that would be acute pain. not chronic pain.
Sat Dec 27, 2014, 01:39 PM
Dec 2014

by definition, chronic pain is useless pain.
nobody gets to that point without finding out why they hurt, or what is wrong.

IDemo

(16,926 posts)
8. I know someone whose life was destroyed by Trigeminal Neuralgia
Sat Dec 27, 2014, 09:27 AM
Dec 2014

Hopefully, this will not take decades of research to provide a working treatment.

Vinca

(50,236 posts)
9. I had severe pain for months and months after a bout of shingles.
Sat Dec 27, 2014, 09:34 AM
Dec 2014

It's called "Post Herpetic Neuralgia" (doesn't sound horrible, but it is). At first I had to take the serious pain killers, but as their effectiveness wears off fairly rapidly I discovered something that helps: engaging the brain in any kind of focused activity. It made sense to me since the pain was always worse when I first woke up in the morning before my brain had fully engaged. I started turning on the news immediately to distract my brain. I am thankful I finally recovered (although years later I still experience mild symptoms). I don't think people - doctors included - appreciate what being in real pain is until they experience it. "Tricking" your brain is something to try . . . anything is worth trying.

 

HockeyMom

(14,337 posts)
18. That is the basis for Lamaze
Sat Dec 27, 2014, 10:54 AM
Dec 2014

for childbirth contractions. Besides the breathing techniques, focus on an object to distract the brain from the pain. I have used it for other situations for decades.

liberal_at_heart

(12,081 posts)
20. About 10 years ago my husband had such uncontrollable glaucoma that he was on
Sat Dec 27, 2014, 11:04 AM
Dec 2014

opiate pain killers. They helped a little but became increasingly less effective and he was becoming physically dependent on them. He was already bed ridden most of the time so one of the things he did was listen to books on cd. He really enjoyed them and it helped distract him.

NJCher

(35,619 posts)
12. and the elderly
Sat Dec 27, 2014, 09:47 AM
Dec 2014

Sometimes parts just wear out; for example, in the case of an elderly aunt (90), the docs won't risk an operation because of her age. She has chronic neck pain.

This is terrific news, and I thank you for bringing it to us, UglyGreed. I will be reading this article to my aunt this weekend. It may give her a little hope that someday....



Cher

drm604

(16,230 posts)
19. So we shouldn't have new medications?
Sat Dec 27, 2014, 11:04 AM
Dec 2014

I don't understand why you would complain about this. It could potentially benefit thousands of chronic pain sufferers. Yes, there are problems with how drugs are sold in this country, but that's a separate problem.

NightWatcher

(39,343 posts)
15. I smoke an Indica hybrid once to thrice a week and it does wonders for my neuropathy
Sat Dec 27, 2014, 10:13 AM
Dec 2014

I've stopped taking pain meds and try to not take muscle relaxers

Anansi1171

(793 posts)
27. And many dont recognize the revolution of medical marijuana...
Sat Dec 27, 2014, 12:11 PM
Dec 2014

...where legalization has spurred innovation and strains now exist high in pain-reducing cannabinoids but that dont get you "high" like a 60s college party.

Watch the Sanjay Gupta special making the rounds on CNN.

My own experience is even prescribed opiates are highly-addictive for one, while MMJ is not. Indeed, if anyone here undergoes the nasty secret of prescribed vicodin, percocet or oxycotin - namely opiate withdrawal - MMJ greatly eases coming off these powerful commercial narcotics.

 

AtomicKitten

(46,585 posts)
36. here's some info
Sat Dec 27, 2014, 07:21 PM
Dec 2014
http://www.leafscience.com/2014/02/23/5-must-know-facts-cannabidiol-cbd/

In brief, THC is the psychoactive component. CBD has medical applications, and CBN is shelf life ... it builds up as product degrades.

mountain grammy

(26,598 posts)
23. I suffer from the usual aches and pains of aging.. arthritis, etc.
Sat Dec 27, 2014, 11:26 AM
Dec 2014

I have always found marijuana to be the most effective relief for nearly everything. We're growing our own, legally thanks to Colorado voters. We make our own edibles, which are an excellent way to relieve pain and stress and are the best sleep aid there is. A few pieces of hard candy during the day keep me moving and a couple of cookies at night ensure a good night's sleep.

The US prohibition on cannabis and hemp is probably one of the most harmful corporate policy our government has ever enacted. This is a miracle plant in every way and the only reason for it's prohibition is pure greed.

In 2012, my husband's 91 year old dad fell and broke a bone in his neck leaving him helpless. We shared the care for him that last year with the rest of the family. He was in pain most of the time. Once I fed him some infused cheese crackers. He was a mean and abusive man who's rage at the world became worse after the fall, but that day, he was laughing and in great spirits. He was amazed at how good he felt and everyone who came by the house remarked on his happy mood. Of course, this was Texas, so the supply was limited to what I could bring when it was my turn to be there.
He never knew why he was so happy to see me, but he was. He said he always felt better when I was there, and I'm quite sure it had nothing to do with my personality, it was those little treats I fed him. No one ever knew except me and my husband.

liberal_at_heart

(12,081 posts)
24. My husband is growing his own now too. I am hoping now that we are growing our own
Sat Dec 27, 2014, 11:29 AM
Dec 2014

edibles and other concentrates will be a more economical alternative for him. He has to smoke or vape constantly to keep his glaucoma under control and sometimes he has to smoke more than he wants to but has to keep smoking until the pressure is where it is suppose to be.

freshwest

(53,661 posts)
32. I've never been in the solution to everything camp. Yet that sounds like it would truly help me.
Sat Dec 27, 2014, 06:20 PM
Dec 2014
Not smoking, but the foodstuffs. But I can't afford it, of that I am sure.
 

Baclava

(12,047 posts)
25. It's a rat study..... Do rats and mice feel pain like we do?
Sat Dec 27, 2014, 11:47 AM
Dec 2014

"A total of 301 rats and 63 mice were employed."

"In animals with cancer-induced bone pain, spontaneous flinching and guarding behaviours were monitored"

"tail flick and hot-plate latency tests"

http://brain.oxfordjournals.org/content/early/2014/11/19/brain.awu330


Hot-plate latency test:

A transparent glass cylinder is used to keep the animal on the heated surface of the plate.
The temperature of the hot plate is set using a thermoregulated water-circulated pump.
The time of latency is defined as the time period between the zero point, when the animal is placed on the hot plate surface, and the time when the animal licks its paw or jumps off to avoid thermal pain

bobGandolf

(871 posts)
28. If this passes muster there are going.....
Sat Dec 27, 2014, 12:33 PM
Dec 2014

to be some happy people! The drug companies will take a big hit if it works well. Just the thought makes me giddy.

freshwest

(53,661 posts)
31. I googled this and apparently the FDA recommendations are for injections only:
Sat Dec 27, 2014, 06:18 PM
Dec 2014
http://www.drugs.com/pro/adenosine.html?printable=1

It sounds as if it is for people in the last stages of life, bedridden, not a viable solution for most of us. Even if it was, the breathing complications listed could be fatal and I doubt that many doctors would prescribe it. At this point, my doctor has thrown her hands up. I'm giving up insurance for next year as I've given up too.

The other search result I got is may be of interest to you:

https://en.wikipedia.org/w/index.php?title=Adenosine&printable=yes

Everything there is what I am being confronted with now. And none of the drugs given otherwise are affordable or practical for many.

Best of luck to those with severe pain and other maladies.

Paula Sims

(877 posts)
33. The standard pain killers only succeed in making me sick
Sat Dec 27, 2014, 06:22 PM
Dec 2014

They do nothing for the pain (and I've had chronic, sometimes debilitating pain, for years). Cymbalta came closest to helping but it made my heart race (long QTc problems) and was hell getting off of it. I hope this works.

ladyVet

(1,587 posts)
39. Marijuana. I'm just sayin'.
Sun Dec 28, 2014, 09:35 AM
Dec 2014

No details on how I obtained some bud infused into glycerin, but a couple of drops on the tongue as needed helps my chronic pain. I have no funds for doctors or pharmaceuticals, so this is the route I can afford.

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